Active NPI
Chase L. Vervack, O.D.
- Optometrist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2673
- Practice address
- 2501 W Memorial Rd Ste 222
Oklahoma City, OK 73134-8019 - Phone
- (405) 775-9300
- Fax
- (405) 775-9303
- NPI assigned
- Jul 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2673 | OK | Primary |
Addresses
Primary practice location
2501 W Memorial Rd Ste 222
Oklahoma City, OK 73134-8019
Mailing address
2501 W Memorial Rd Ste 222
Oklahoma City, OK 73134-8019
Phone (405) 775-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14110 N Pennsylvania Ave
Suite 1
Oklahoma City, OK 73134-6199
Phone (405) 775-9300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2673 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butcher Optical I, PC | Optometrist | Current | Accepting new patients |
| Butcher Optical III, Inc | Optometrist | Current | Accepting new patients |
| Butcher Optical II, PC | Optometrist | Current | Accepting new patients |
| Jeffrey M. Butcher, OD, PC | Optometrist | Past | Accepting new patients |
Locations
13553 State Road 54
Odessa, FL 33556
Phone (303) 929-3420
1369 24th Ave NW
Norman, OK 73069
Phone (405) 366-1110
14110 N Pennsylvania Ave
Ste 1
Oklahoma City, OK 73134
Phone (405) 775-9300
7308 NW Expressway
Ste 100
Oklahoma City, OK 73132
Phone (405) 720-8316
8549 N Rockwell Ave
Oklahoma City, OK 73132
Phone (405) 720-8316
2501 W Memorial Rd
Ste 222
Oklahoma City, OK 73134
Phone (405) 775-0400
510 E Memorial Rd
Ste A4
Oklahoma City, OK 73114
Phone (405) 777-4726
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279929600000",
"number": "1285947895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W MEMORIAL RD STE 222",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731348019",
"telephone_number": "405-775-9300",
"fax_number": "405-775-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W MEMORIAL RD STE 222",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731348019",
"telephone_number": "405-775-9300",
"fax_number": "405-775-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERVACK",
"first_name": "CHASE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-24",
"last_updated": "2010-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.